Individual

1

Family 2

1

1Your plan will activate on Tuesday,
November 22, 2011 if you join today.

2Those eligible for discounts under this plan include spouse and any
other financially dependent family member living in the member's household.

Plan Summary

The Tennessee Discount Dental Plan is for consumers living in the state of Tennessee.
Over 120 dental providers are available throughout the state. Members who participate
with this plan enjoy an average of 40% savings on dental procedures and treatments.
Tennessee Dental Plan is the hassle free solution for your dental benefit needs!

Sample Plan Savings for ZIP code 92801

Procedure Description

Usual Fee 1

Discounted Fee
(for Plan Members) 2

Member Savings

Savings Percentage

Routine 6 Month Check-Up

$57

$17

$40

70%

Full Mouth X-Rays

$144

$45

$99

69%

Panoramic Film

$122

$42

$80

66%

Adult Teeth Cleaning

$102

$33

$69

68%

Child Teeth Cleaning

$75

$23

$52

69%

Protective Sealant / Tooth

$61

$19

$42

69%

1 Surface White Filling for U or L Front Tooth

$175

$63

$112

64%

Single Crown - Porcelain on High Noble Metal + Metal

$1,227

$550

$677

55%

Single Crown - Porcelain on Noble Metal + Metal

$1,162

$550

$612

53%

Core Build-Up With Pins

$296

$113

$183

62%

Full Upper Denture

$1,855

$695

$1,160

63%

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The sample table above is a small selection
of common procedures covered by the Tennessee Dental Plan. Once you’re a member,
you will be provided with a complete fee schedule with discounted fees for nearly
every dental procedure. All procedures covered under the Tennessee Dental Plan offer
similar savings to the sample above. If you are looking for a specific dental procedure
that is not on this sample, please contact our Customer Care Center toll-free at
(888) 632-5353 with the ADA Code of the procedure and we would be happy to discuss
the discounted fee.

2 Discounted fees are listed for visits to a participating
general dentist - this fee is guaranteed according to your fee schedule.
Any procedure not listed on the complete fee schedule
(provided in your Member’s Area once you join) will be discounted 20% off the provider's
usual and customary fee. Consult with your provider prior to beginning any treatment.
Lab fees are additional.

Click on the links below for more details

The Tennessee Dental Plan is a discount or "reduced-fee" dental plan. This plan
is designed for health conscious consumers looking to maintain their oral health
and minimize their dental care expenses.

General dentists who participate in the Tennessee Dental Plan have agreed to accept
a discounted fee as payment in full for each service
performed. These discounted fees are up to 80% less than what a dentist would normally
charge. A sample table of Tennessee Dental Plan discounted fees can be found above.

You are entitled to choose any participating dentist on the Tennessee Dental Plan.
Dental offices are located throughout the United States. The dental provider listings
on DentalPlans.com are provided directly from each dental network or dental plan,
who are responsible for its accuracy and completeness. These listings are updated
on a monthly basis, and every effort has been made to ensure that only participating
active providers are listed. We strongly recommend that you confirm that a provider
is currently participating before you receive any services from that provider.

This plan is based geographically by ZIP code in terms of provider participating
and location. Fee schedules and savings may vary by ZIP code.

Individual

Plan Membership Fee

1

New Members
Get 1 Free Month
When You Join Today!

Family 2

Plan Membership Fee

1

New Members
Get 1 Free Month
When You Join Today!

1Your plan will activate on Tuesday,
November 22, 2011 if you join today.

2Those eligible for discounts under this plan include spouse and any
other financially dependent family member living in the member's household.

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Savings plans are NOT insurance and the savings will vary by provider, plan and
zip code. These plans are not considered to be qualified health plans under the
Affordable Care Act. Please consult with the respective plan detail page for additional
plan terms. The discounts are available through participating healthcare providers
only. To check that your provider participates, visit our website or call us. Since
there is no paperwork or reimbursement, you must pay for the service at the time
it’s provided. You will receive the discount off the provider’s usual
and customary fees when you pay. We encourage you to check with your participating
provider prior to beginning treatment. Special promotions including, but not limited
to, additional months free are not available to California residents or on Fully Insured Plans. Note –
not all plans and offers available in all markets.